Document Detail


The Mobility Interaction Fall chart.
MedLine Citation:
PMID:  10998775     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: The aim of this study was to develop and evaluate a screening tool for the identification of older people living in residential care facilities who are prone to falling. METHOD: Two tests focusing on attentional demands while walking were performed: 'Stops walking when talking' and the 'diffTUG'. Medical assessment, rating for cognition, depression and activities of daily living were also carried out. Falls indoors were followed up prospectively over a period of six months. A flowchart, the Mobility Interaction Fall (MIF) chart, for the identification of older people who are prone to falling was developed. The MIF chart includes an observation of mobility level and 'Stops walking when talking', the diffTUG, a test of vision and a rating of concentration. Study subjects were 78 residents, aged over 65 years, in one residential care facility (22 M; 56 F; median age 82 years, range 66-99 years) in Umeå, Sweden. RESULTS: Thirty-three (42%) subjects suffered at least one fall indoors during the follow-up period. The rate of falls differed significantly between those subjects classified as being at risk of falls and those not so classified (log rank test 39.1; p < 0.001; hazard ratio 12.1; 95% CI 4.6-31.8). The positive predictive value for the classification was 78% (95% CI 67-87%) and the negative predictive value was 88% (95% CI 79-95%). CONCLUSION: The initial findings for the MIF chart indicate a promising way of classifying older people at residential care facilities as being at high or low risk of falling. The classification is quick and easy and requires no expensive equipment.
Authors:
L Lundin-Olsson; L Nyberg; Y Gustafson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Physiotherapy research international : the journal for researchers and clinicians in physical therapy     Volume:  5     ISSN:  1358-2267     ISO Abbreviation:  Physiother Res Int     Publication Date:  2000  
Date Detail:
Created Date:  2000-12-18     Completed Date:  2001-01-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9612022     Medline TA:  Physiother Res Int     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  190-201     Citation Subset:  IM    
Affiliation:
Department of Community Medicine and Rehabilitation Physiotherapy and Geriatric Medicine, Umeå University, Sweden. Lillemor.Lundin.Olsson@germed.umu.se
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls* / prevention & control
Activities of Daily Living
Aged
Aged, 80 and over
Attention
Female
Geriatric Assessment*
Humans
Male
Predictive Value of Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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